Individual
DR. LACY JO WEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
423 MERTON AVE, HARTLAND, WI 53029-1506
(262) 367-4751
Mailing address
1822 CARDINAL DR, WAUKESHA, WI 53186-2607
(608) 343-2808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22395-40
WI
Other
Enumeration date
09/15/2023
Last updated
12/16/2023
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